Provider Demographics
NPI:1407674906
Name:HANNAH BRETZ COUNSELING PLLC
Entity type:Organization
Organization Name:HANNAH BRETZ COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRETZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-506-5877
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59771-0062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:766 PROFESSIONAL DR APT 3C
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-4130
Practice Address - Country:US
Practice Address - Phone:406-506-5877
Practice Address - Fax:406-296-7596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health